Free Kansas Medical Power of Attorney Form | PDF

Kansas Medical Power of Attorney Form

A Kansas Medical Power of Attorney can prevent any confusion as to who should be appointed to handle the healthcare decisions of another when they cannot do so for themselves (due to being in an incapacitated state). The principal must appoint while they still have the mental capacity to execute a legal document properly.

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Last updated February 26th, 2026

A Kansas Medical Power of Attorney can prevent any confusion as to who should be appointed to handle the healthcare decisions of another when they cannot do so for themselves (due to being in an incapacitated state). The principal must appoint while they still have the mental capacity to execute a legal document properly.

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Other Versions (6)

Kansas Bar Association Version

Download: Adobe PDF

 

 

 


Kansas Legal Services Version

Download: Adobe PDF

 

 

 


Kansas State University Version

Download: Adobe PDF

 

 

 


Spanish/Español Version

Download: Adobe PDF

 

 

 


Stormont Vail Health Version

Download: Adobe PDF

 

 

 


Wichita Medical Research & Education Foundation (WMREF) Version

Download: Adobe PDF

 

 

 

Additional Resources

Related Forms (7)

Advance Directive (Medical POA & Living Will)

DownloadAdobe PDF

 

 

 


Advance Directive Wallet Cards

Download: Adobe PDF

 

 

 


Do-Not-Resuscitate (DNR) Directive

Download: Adobe PDF (also available in Spanish/en Español)
Laws: § 65-4941 – § 65-4948

 

 


Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 


HIPAA Privacy Authorization Form

Download: Adobe PDF

 

 

 


Organ Donation Form

Download: Adobe PDF

 

 

 


Transportable Physician Orders for Patient Preferences (TPOPP) Form

Download: Adobe PDF

 

 

 




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